Hospital Complaint and Survey Information - 2003

Hospital Name: MARY IMMACULATE HOSPITAL

ST. VINCENT'S CATHOLIC MEDICAL CENTERS

PFI #3013

Revised: 2/05

Complaints:

Complaint Information: 2003
Complaint Investigations Completed: 22
Complaints with Statements of Deficiencies (SOD) issued: 3
% of Complaints with SODs Issued 13%
Regional % of Complaints with SODs issued: 19.1%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
03/13/03 405.05(b)(1)(i) Nursing Services 04/11/03
       
04/21/03 405.05 Nursing Services 06/03/03
  405.05 Nursing Services  
  405.19 Emergency Services  
       
02/07/03 405.02(f)(1) Governing Body 06/05/03
  405.04(a) Medical Staff  
  405.05(b)(1)(i) Nursing Services  
  405.06(a)(2) Quality Assurance Program  
  405.08(b)(1) Incident Reporting  
  405.15(a)(4)(ii) Radiologic & Nuclear Medicine Services  
       

Areas Cited as a Result of A-28 Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
none

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
none